Esophageal Cancer

Esophageal Cancer

Treatment

  • Esophagectomy is a surgical procedure to remove some or all of the esophagus and then reconstruct it using part of another organ, usually the stomach. The types of esophagectomy are:
    • Trans-thoracic Esophagectomy where esophagus and part of stomach is removed by standard surgical approach (laparotomy, thoracotomy and neck incision)
    • Video-assisted Thoracoscopic Surgery (VATS) and Robotic-assisted Thoracoscopic Surgery (RATS) - These are minimally invasive surgical approach to perform esophagectomy. The post-operative recovery is much faster in these procedures.
    • No tube no fasting esophagectomy is performed under special circumstances, where the patient is allowed to consume food the next day after surgery
  • Advantages of VATS and RATS :
    • Less pain
    • Early recovery
    • Early resumption of routine activity
    • Less number of hospitals stay
    • Less analgesic requirement
    • Less morbidity
    • Minimal trauma
    • Lesser tissue handling
    • More precise and cutting-edge technology
  • Esophageal Stenting:
    In this procedure, a tube is placed in the esophagus (throat). This helps to open the blocked esophagus and to relieve dysphagia and the tube helps to swallow solids and liquids.
  • This treatment uses high-powered energy from sources such as X-rays to destroy cancer cells and shrink tumors. Doctors carefully direct the energy to the tumor, while sparing the surrounding healthy tissue.
    In Esophageal cancers radiotherapy is given before surgery to shrink the tumor and make it easier for surgical excision. When surgery is not feasible Radiotherapy can be given with a combination of chemotherapy for curing the cancer.
    High precision techniques like Intensity Modulated Radiotherapy (IMRT), Image guided Radiotherapy (IGRT) and Volumetric Modulated Arc therapy (VMAT/Rapid Arc) are useful in targeting the tumor accurately and avoiding normal tissue injury.
  • Chemotherapy
    uses drugs to destroy cancer cells. Chemotherapy is used alone or in combination with radiation prior to surgery in bulky and large tumors. Also it is indicated in advanced metastatic cancers
  • Targeted therapy
    focuses on specific abnormalities present within cancer cells. By blocking these abnormalities, targeted drug treatments can kill cancer cells. Targeted therapy in combination with chemotherapy is generally used in advanced disease and in disease recurrence. Targeted therapy is used based on histopathological subtype and molecular changes.
  • Immunotherapy
    is a drug treatment that uses the immune system to fight cancer. The body's disease-fighting immune system may not attack cancer because the cancer cells produce proteins that blind the immune system cells from recognizing them. Immunotherapy works by interfering with that process.
    The indication for immunotherapy is based on immunohistochemical tests and molecular test in advanced disease and recurrence. Immunotherapy is generally used in combination with chemotherapy in advanced disease. Also it can be used alone in subsequent lines of treatment.
Call Appointment